Organization
LUXOTTICA RETAIL NORTH AMERICA, INC
Active
Other names
Target Optical #9694
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN M. KINSEY (VP, CONTROLLER FINANCE)
(513) 765-6331
Entity
Organization
Contact information
Practice address
10451 FAIRWAY DR, ROSEVILLE, CA 95678-1987
(916) 865-2194
Mailing address
4000 LUXOTTICA PL, ATTN MEDICARE DEPT, MASON, OH 45040-8114
(513) 765-6000
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
10/03/2017
Last updated
10/03/2017
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